Increased and decreased acidity of gastric juice: how to deal with it. Heartburn hyperacidity Heartburn is a sign of increased or decreased acidity of the stomach

The date: 15.05.2022

Of course, the acidity of gastric juice will not go down just like that, from scratch. This requires certain prerequisites. Such prerequisites are a number of diseases, such as:

Gastroduodenitis
Gastritis
Stomach cancer

All these diseases are inevitably accompanied either by a violation of the normal functioning of the glands that produce hydrochloric acid, or even by their complete atrophy - in especially severe cases. Although, in fairness, it should be noted that it is very rare, but there are always cases when the acidity of the stomach decreases for no apparent reason.

As you already understood, the treatment of this pathology must be started as soon as possible. However, self-treatment is unacceptable, since pharmacological preparations must be selected strictly individually in each case, taking into account the results of the tests and the state of human health.

There are a lot of medicines to treat the increased acidity of the stomach. But the drug treatment of low acidity is not an easy task, since there are very, very few truly effective drugs. Most often, treatment is carried out using three types of drugs:

hydrochloric acid preparations

With these drugs, you must be especially careful - they are used only as directed by a doctor and under his strict control.

In addition, there are a number of drugs that stimulate the production of hydrochloric acid by the glands of the stomach.

Preparations based on herbs such as wormwood, fennel, calamus, and peppermint are also successfully used. These herbs are also very effective in stimulating the production of gastric juice and in particular hydrochloric acid.

But in no case should you take any herbs on your own, without a doctor's prescription. After all, herbs are not at all as harmless as it might seem at first glance.

And do not hope that your friends have already treated a similar ailment with herbs.

Herbs can be both medicine and poison if used incorrectly. Therefore, if you do decide to treat low acidity using herbs, at least consult with your doctor. He will help you choose the most suitable herbs and determine the dosage.

As mentioned above, in some cases, a decrease in the acidity of gastric juice may indicate that a sick person has a predisposition to cancer. Therefore, treatment will also be aimed at the prevention of this extremely life-threatening disease.

Of course, preventive treatment should be carried out only under the supervision of doctors. In order for the treatment to be productive, be sure to strictly follow all the instructions and recommendations of the doctor.

The functional state of the gastrointestinal tract determines the health of the body as a whole. If there is a breakdown in the functioning of any organ, then this will affect the state of the person.

Heartburn is an unpleasant and fairly common symptom today, which occurs in people of different sex and age. It can be associated with the pathology of any organ of the digestive system.

More often it happens esophagitis or gastritis. The article provides information about the causes of this symptom, its diagnosis and treatment.

Heartburn is a very unpleasant symptom.

Esophagitis and heartburn

Inflammation of the esophageal mucosa is very common in patients of young working age. The predisposing factor is the so-called gastroesophageal reflux disease.

The essence of the pathology lies in the fact that from the stomach the contents are thrown into the esophageal lumen.

Regardless of whether this content is high or low acidity, inflammation of the esophageal mucosa develops. In any case, the contents of the stomach have a significantly higher amount of acid than the esophagus. Therefore, reflux leads to esophagitis.

Heartburn spreads from bottom to top, as gastric juice enters the overlying departments retrogradely. It is manifested by an unpleasant burning sensation. Sometimes heartburn happens along with regurgitation. Belching is sour. The taste in the mouth is also sour, but there may also be bitterness.

Reflux is dangerous with the development of Barrett's esophagus. This is a precancerous disease. A large number of patients with this condition are later diagnosed with adenocarcinoma of the esophagus.

Heartburn with gastritis

Inflammation of the gastric mucosa occurs in almost every person. When conducting esophagogastroduodenoscopy, a healthy intact mucous membrane of this organ is found in units.

A woman complains to the doctor about pain in the epigastric region

Gastritis with an increase in the acid-forming function of the stomach causes heartburn much more often than inflammation of the wall of an organ of low acidity. This happens in younger patients. Clinically, heartburn does not differ from that of gastroesophageal reflux. The only difference is the lack of connection with the horizontal position, which is evident in reflux disease.

Diseases of the gastrointestinal tract are a fairly common occurrence. At the same time, most people suffer from increased acidity of gastric juice. But what is the danger and what are the symptoms of low acidity of the stomach, not many people know.

It is well known that food that enters the digestive system is broken down by the action of gastric juice. It includes a certain amount of hydrochloric acid, due to which the process of digestion of food occurs. It is the content of hydrochloric acid that determines the acidity of gastric juice, which is measured in pH units.

The stomach contains a wide variety of glands, including the so-called fundic glands responsible for the production of hydrochloric acid. At the same time, gastric juice also contains alkaline ingredients. The indicator of the level of acidity of gastric juice depends on how quickly the process of neutralization of hydrochloric acid occurs.

The presence of such pathologies is most often accompanied by a violation of the normal functioning of the fundic glands, up to their complete atrophy. However, it should be noted that in some extremely rare cases, a decrease in the acidity of gastric juice occurs for no apparent reason.

All digestive processes are reliably interconnected according to the feedback principle and with the activity of the higher parts of the human nervous system. The processes of inhibition and excitation of the central nervous system, especially its higher section - the cerebral cortex - determine the conditioned reflex nature of the secretory and motor activity of any organ of the gastrointestinal tract.

The central nervous system (CNS), through fine nervous regulation, coordinates both the work of individual sections of the gastrointestinal tract and the diverse functions of each of them. Pathologies of gastric secretion inevitably entail a change in its ability to evacuate food, and vice versa. The excretory function of the stomach depends on the quality of the digestive processes in the oral cavity and at the same time affects the intestinal function.

Digestive "capacity" (quality) of gastric secretion is determined by the following factors:

its volume;
acidity level;
natural ability to break down protein (proteolytic activity);
products of digestion absorbed into the blood.

Many people believe that gastroesophageal reflux disease (GERD) is associated with increased secretion of hydrochloric acid in the stomach, however, this is not always the case. A number of patients develop heartburn with low acidity, which may be somewhat surprising, or even difficult to diagnose.

After all, a person may not pay attention to heartburn attacks, thinking that against the background of low acidity, it cannot appear. However, this is just a delusion, which, nevertheless, can lead to negative consequences.

Heartburn is not an independent disease

Stomach acidity and its role in digestion

This condition can lead to the following diseases:

Decay products, accumulating in the body, poison it, immunity decreases, the risk of fungal and viral diseases increases.
Due to incomplete digestion of food, there is a shortage of certain minerals and vitamins. This has a very bad effect on nails and hair, their fragility and dryness increase.
This condition has a very bad effect on the condition of the skin, which becomes dry, acne appears on the face, dilated vessels appear
Anemia, autoimmune diseases and stomach cancer.
Allergic reactions and intolerance to many products.
Decreased performance, sleep disturbance, development of depression. Hypotension may occur.

Heartburn, increased acidity of the stomach and gastritis are very common diseases in the modern world.

The main causes of the prevalence of diseases of the gastrointestinal tract are stress and malnutrition.

Burning in the stomach is the main symptom, which can be aggravated during meals. In this article, we will tell you about foods that increase the acidity of the stomach and can cause heartburn, so it is better to reduce their consumption or avoid them altogether.

Most of the digestive disorders that people face in the 21st century are associated with a lot of tension and high levels of stress, especially among urban dwellers. What we eat directly affects how we feel.

When we eat acidic foods every day, the stomach and the body as a whole begin to get used to this type of food and the acidity of the stomach rises.

The stomach can't handle that much acid, and at some point it rises up the throat, causing acid reflux. In addition, it causes a burning sensation in the stomach, also known as heartburn.

The good news is that all of these problems can be solved with proper nutrition. We recommend that you eat more alkaline foods, especially fruits and vegetables.

So you get rid of unpleasant painful symptoms.

Without gastric juice, which contains the optimal amount of hydrochloric acid, there will be no normal digestion. Periodically, the level of hydrochloric acid increases. This situation occurs in cases where a person has an infectious disease or a violation occurs in the normal functioning of the stomach. Increased acidity of the stomach appears due to an increase in the amount of hydrochloric acid.

Causes of increased stomach acid

Nothing appears for no reason. Any failure in the work of the human body must be provoked. Physicians divide problems with high acidity into external and internal causes.

There are the following external causes of increased acidity of the stomach:

Bad habits: smoking, addiction to alcohol.
Wrong nutrition.
Self-medication and uncontrolled intake of drugs.
Work in hazardous industries.
Consumption in large volumes of hot, spicy, fatty, fried, spicy, pickled foods.

It is this neglect of your health that leads to an increase in acidity. Although, to a greater extent, internal causes are to blame for stomach problems, which include:

The causes of increased acidity of the stomach are different. But, each of them can be dealt with both individually and in combination. The main thing is to make efforts in the right direction and then all problems will be solved.

Increased acidity of the stomach: symptoms

Reasons for the problem

The main reasons for the decrease in acidity are:

factor of heredity;
metabolic disorders due to a decrease in the production of thyroid hormones;
infection with fungal toxins or Helicobacter pylori;
deficiency of zinc and a number of vitamins of group B;
wrong diet;
alcohol abuse and smoking, leading to oxygen starvation of mucosal tissues;
development of autoimmune gastritis;
activation of the nerve receptors of the stomach by reflex influences coming from the gallbladder, as well as the organs of the female genital area.

Food with a predominance of carbohydrates is a weak stimulant of secretion. Long-term carbohydrate diet causes a decrease in both acidity and the digestive capacity of the juice.

The digestive capacity of gastric secretion in relation to food with excess fat is lower than meat food, but higher than carbohydrate food.

A decrease in acidity can be both a cause and a consequence of inflammatory processes occurring in the thickness of its walls.

The number of cells that secrete acid (and therefore determine the total acidity of the secret) is regulated by many hormones secreted by the endocrine cells of the stomach. The acid-base balance inside the stomach is supported, among other things, by the alkaline components of the gastric juice (otherwise the stomach would digest itself) and the secretion of mucus by the gastric walls.

Thus, one of the following circumstances leads to a decrease in acidity:

a decrease in the number of acid-producing cells (up to the complete cessation of its secretion of achylia) against the background of normal secretion of the alkaline component of the juice;
an increase in the concentration of the alkaline component of gastric discharge with normal total acidity of gastric juice;
an increase in the concentration of alkaline components against the background of a decrease in the number of cells producing hydrochloric acid.

Under normal conditions, the amount of secretion depends on the degree of homogeneity (consistency) and the volume of the food mass in the stomach (the more food, the more intense the secretion).

I do not know a person who has not experienced heartburn at least once in his life. According to the laws of common sense, the assumption suggests itself that there is too much acid in the stomach.

It is thrown into the esophagus and damages it. Correctly? An no.

Along with the myth of cholesterol, the myth of hydrochloric acid is one of the most common. There is nothing surprising in this.

The fact is that drugs that lower the acidity of the stomach are a cash cow for pharmaceutical companies. The cost of milk production from this cow is estimated at 13 billion dollars a year.

Moreover, her milk yields are second only to the record of anti-cholesterol Burenka.

Believe it or not, but hydrochloric acid is in the stomach not only to punish the consumption of spicy or sour foods. Hydrochloric acid must be present in the stomach. And if it is necessary for life, it is therefore important for health. According to pharmaceutical companies, most heartburn sufferers have no idea how critical hydrochloric acid is to digestion and overall health.

The first thing the doctor will advise is a change in lifestyle. Medicines used in the treatment of heartburn at home:

Antacids.
H3-histamine receptor blockers.
proton pump inhibitors.
prokinetic agents.

In some cases, anti-reflux surgery is the best option. Due to the effectiveness of medications, surgery is not a primary treatment option. It is used if the patient cannot afford long-term medication or if the doctor determines that the medication has not been effective. The medical specialist will also recommend surgery if there is a complication:

Large hiatal hernia.
Severe esophagitis, especially with bleeding.
Re-narrowing (stricture) of the esophagus.
Barrett's esophagus, especially with progressive precancerous or cancerous changes.
Severe lung problems due to heartburn, acid reflux - bronchitis, pneumonia.

The most common minimally invasive surgery procedure is the Nissen fundoplication. It is done using laparoscopic surgery and involves a stay in the hospital.

Heartburn is one of the most common complaints that stomach patients seek medical attention for. Most people still try to get rid of heartburn on their own at home, which is not very correct. Given that the doctor most often simply prescribes an acid-reducing medication, it makes sense to talk about this problem in more detail.

The same bad eating habits can lead to the appearance of both heartburn and hyperacidity:

Combine incompatible foods in one meal - for example, meat and fish, dairy products and meat, etc.
Overeat. You can not overload the stomach; It is better to eat more often, but little by little.
Eat fatty desserts after meals, as well as desserts made from dairy products and / or with sugar; they interfere with the digestion of food and contribute to weight gain. It is better to eat desserts some time after breakfast or lunch.
There are citrus fruits for dessert. Acids are poorly absorbed after eating; it is better to eat an apple or a pear, and leave citrus fruits in the morning.
Eating too fast without chewing food.
Drink plenty of water with meals. It is better to drink water half an hour before meals and some time after meals.
Is under stress anxiety or irritation. We should try to eat in a calm state, in a pleasant environment, not doing other things and avoiding companies that unbalance us.
long time to take antacids, which can change the pH of our stomach.

Which doctor should you contact if you are worried about heartburn

The first instance is most often the local therapist or shop doctor. You can make an appointment and visit him. The main thing is to voice and list all your complaints. It is necessary to present them as specifically as possible and answer all the questions of the doctor honestly. The therapist himself can prescribe the necessary tests and studies. If necessary, he will open a sick leave.

There is a possibility that the local doctor will refer the patient to a gastroenterologist. You can get to this specialist without first visiting a therapist. A general practitioner, a shop doctor, a general practitioner and a gastroenterologist have the right to treat gastritis, esophagitis, reflux disease.

Primary and secondary symptoms

The clinical picture of reduced acidity is nonspecific and is characterized by the following set of symptoms:

a feeling of heaviness in the epigastric region, a feeling of fullness in the stomach;
in some cases - increased salivation;
nausea, fetid belching;
flatulence and a tendency to diarrhea;
white coating on the tongue;
heartburn;
decreased immunity, general weakness.

Like most other diseases and conditions of the human body, hyperacidity is accompanied not only by the main symptom, but also by a number of additional ones. And, although heartburn is one of the main symptoms, it is often accompanied by:

sour belching, vomiting and nausea;
pain in the epigastrium and left hypochondrium;
flatulence, constipation and diarrhea;
loss or, conversely, a sharp increase in appetite and even a feeling of hunger.

The persistent manifestation of all or only some of these symptoms leads to the development of depression in the patient. The feeling of discomfort and stress become additional factors that increase heartburn. If you have all these signs, you should consult a doctor to confirm suspicions about their cause and prescribe effective treatment.

Low acidity of the stomach leads to the work of the digestive organs. Some enzymes lose their activity, which leads to improper protein digestion and the formation of active fermentation processes.

Diagnostics

Among the tests that must be taken in the presence of heartburn to carry out a diagnostic search, there are general clinical and special ones. The first group includes a general analysis of blood and urine with an assessment of indicators of red and white blood, as well as a biochemical study to exclude damage to the liver, pancreas and biliary tract.

ELISA for the presence of antibodies to Helicobacter pylori determines Helicobacter pylori in chronic gastritis. This is important for addressing the issue of eradication therapy using antibacterial agents.

This method visualizes the state of the mucous membrane of the esophagus, stomach. In addition, it becomes possible to assess the functional state of the stomach.

Treatment approaches

Heartburn can be treated with antacids. These include Maalox, Almagel, Phosphalugel. Gaviscon is considered a more modern drug. This remedy can even help with duodenogastric reflux.

The only problem is that more than 14 days, antacids cannot be used. During this period, the doctor looks for the cause and eliminates it.

With esophagitis and reflux disease, proton pump inhibitors are prescribed - Rabeprazole, Esomeprazole and their analogues. For the speedy healing of mucosal defects, you can use film-forming preparations - De-Nol and Ulcavis.

With gastritis, the same treatment regimen. The only difference is that large dosages of proton pump blockers are allowed. In the presence of helicobacteriosis, it is advisable to take antibiotics for 14 days.

Methods for treating low acidity and its consequences depend on the specific symptoms, the severity of the violations and the individual characteristics of the person. As a rule, in this case, hydrochloric acid preparations and drugs are prescribed to compensate for the deficiency of enzymes secreted by the digestive glands.

For example, taking 1 tbsp. l. while eating a solution of hydrochloric acid or natural gastric juice of animal origin, soluble pepsin powder. Normalizes digestion drug orase in granules, which is taken during or immediately after a meal. The course of treatment lasts up to a month.

Substitutes for natural pancreatic juice are pangrol, creon, mezim. Capsules in the amount of 1-2 pcs. take before meals with plenty of water.

To stimulate gastric secretion, bitterness is used: tincture of wormwood - 20 minutes before meals, 15-20 drops, aristochol - 20-25 drops after meals three times a day, the vitamin preparation cytoflavin containing succinic acid, is taken half an hour before meals, 1- 2 tablets 2 times a day.

It is clear that the treatment of this disease must be started without delay. Self-treatment is unacceptable, because drugs must be selected personally, taking into account the results of the diagnosis and the non-specialized condition of the patient. Drug treatment is caused by some complications, because there are few really effective drugs.

In most cases, the expert uses the following medicines to treat this ailment:

hydrochloric acid preparations;
Stimulant drugs;
Herbal remedies. Effective in this ailment are preparations, which include some types of herbs. They excellently contribute to the production of gastric juice, in particular hydrochloric acid. But one should not take herbs without the advice of doctors, because not all herbs are harmless, as it is thought. Since with the wrong intake of herbs, they can have a toxic effect on the patient's body.

In order for the treatment chosen by the doctor to bring the desired result, it is imperative to adhere to all the recommendations and instructions of the expert.

The main treatment for hyperacid gastritis (with increased acidity of the stomach) is the elimination of the causes that caused this condition. Therapy is aimed at lowering the level of acidity in the stomach. For this purpose, the following are assigned:

proton pump inhibitors or H2 histamine receptor blockers;
antacids after eating a long course;
in violation of the evacuation function of the stomach - prokinetics.

Not the least important in the treatment of heartburn with high acidity is the diet, organization of work and rest.

The appearance of heartburn is primarily affected not by the changed pH level, but by the work of the muscles of the esophagus, acidity is only an additional factor. Do not be afraid if you have not done a study of the level of stomach acidity. According to the changed mucosa, a competent doctor will always determine what type of disease. The main thing is to contact the right specialist in time.

It is more difficult to choose a treatment with a pH closer to 6, this level in therapy is called hypoacid. Drugs that lower the production of hydrochloric acid are not advisable to prescribe here. The main treatment for heartburn with low acidity is lifestyle correction and the exclusion of factors that provoke the appearance of a burning sensation. Additionally, drugs are prescribed that increase the level of production of hydrochloric acid.

Most often, increased acidity of the stomach appears with gastritis. It is accompanied by all the above symptoms. In order to bring your health back to normal, you need to visit a gastroenterologist. Heartburn with high acidity is not difficult to treat. In a couple of months, you can cope with its main manifestations and restore your former health.

Treatment should be carried out using the following recommendations:

Diet food. It should become the norm. The following dishes should be present in the main diet to a greater extent: vegetable purees, buckwheat, rice porridge, scrambled eggs, mashed potatoes, oatmeal. From vegetables, preference should be given to the following: rutabaga, cauliflower, carrots, potatoes. Almost all fruits can be consumed, with the exception of citrus fruits and apples. From drinks you should drink kissels, compotes and not strong green tea.
Medications: anticholinergics, histamine blockers, anthracid drugs, flow pump blockers are taken strictly for their intended purpose and only in a clear dosage indicated by the doctor.

Normalizing the work of the stomach is not as difficult as it seems. Heartburn with increased acidity of the stomach treatment is simple and affordable. But, in order for the situation not to worsen in the future, you should constantly follow the recommendations of the doctor.

Medicines for heartburn with high acidity

Proper medication and a balanced diet can literally work wonders. The main thing is to follow all the recommendations and then heartburn will no longer bother.

Treatment of heartburn with folk remedies for high acidity

Many people, knowing some tricks, treat heartburn with folk remedies for high acidity at home. It cannot be said that they are very effective and long-lasting. Most often, people simply relieve heartburn, and do not treat their painful condition.

Milk. A glass of milk at room temperature quickly suppresses heartburn and reduces acidity.
Natural vanilla ice cream. 50 grams of ice cream, suppresses hyperacidity.
Mint. 5-10 mint leaves are poured with boiling water and allowed to cool completely. An hour after eating, you can take this drink to help neutralize heartburn.
Water. One hour before a meal or an hour after it is recommended to drink one glass of water. In addition, to normalize the pH, it is recommended to drink up to 8 glasses of pure water per day.
Basil. After each meal, chew on a few leaves of basil.

Treatment of heartburn with high acidity is quite simple, but it is effective. Therefore, to prevent your condition, you can resort to it from time to time.

Methods for determining acidity

Decreased acidity does not have specific pronounced symptoms, therefore, if low acidity is suspected, a thoughtful analytics of a doctor comes to the fore, who focuses more on its consequences, and differential diagnosis.

To characterize the acidity, the so-called pH value is used. It contains the first letter of the chemical name of hydrogen, as it serves to assess the chemical activity of its ions (protons), which determine the acidity of liquid substances.

The most informative is the intragastric measurement of acidity with the help of special sensors on an empty stomach and in different phases of juice separation and at different points of the stomach, since acid-secreting cells are unevenly distributed in the stomach cavity, their concentration is higher in its upper (fundal) part.

To make a diagnosis, a biochemical blood test is performed, antibodies to Helicobacter pylori, residual nitrogen in the blood are detected. If necessary, x-ray examination of the stomach and duodenum, ultrasound examination of the digestive tract.

Acidity or alkalinity is important for many chemical processes in nature and in our body. The efficiency of a particular chemical reaction directly depends on the surrounding pH of the medium.

What is acidity

What is acidity and alkalinity? This is the concentration of hydrogen ions in a solution, making it either acidic, neutral, or alkaline. This pH indicator is commonly referred to as pH (lat. pondus Hydrogenii - the strength of hydrogen), with a numerical value from 0 to 14.

Values that are less than 7 (pH

Treatment of heartburn should begin with the establishment of the causes that cause this condition. Therefore, self-treatment at home is not recommended. First of all, you need to undergo an examination and, based on the data obtained, prescribe treatment. It is important to stick to a diet and know which foods can trigger heartburn.

Mechanism of heartburn development

The stomach produces gastric juice containing hydrochloric acid. This substance is necessary to neutralize pathogenic microorganisms that enter the stomach with food. But if the mucosa of the organ is protected from its aggressive effects, then the walls of the esophagus are not.

There is a valve between the stomach and esophagus. After a portion of food enters the stomach, it closes and controls that part of the gastric juice does not enter the esophagus. Under the influence of various factors - an ulcer, a decrease in valve tone, overeating, pregnancy, the valve does not perform its function. In this case, there may be a reflux of hydrochloric acid into the esophagus. This can cause burning and other unpleasant symptoms.

What happens at elevated pH

Hyperacidity can occur with excessive production of gastric juice and acid. If timely treatment is not carried out, increased acidity becomes a trigger for the development of multiple pathologies, including cancer. Therefore, treatment must be carried out immediately.

What are the symptoms of high pH?

heartburn;
burning in the esophagus;
there is an eructation with bitterness;
paroxysmal pain in the stomach;
aching pain in right side.

Important! The concept of harmful products with high acidity is relative. You should always consult with your doctor before starting treatment, make a diet. Initially, you need to find out whether a person has high acidity or low acidity. And from this build on the diet.

Foods that cause heartburn at elevated pH:

alcoholic beverages (cause intensive production of gastric juice, increase the sensitivity of the mucous membrane of the esophagus);
lemons, oranges, tangerines (contain a high percentage of acidity, cause an increase in pH);
fatty, smoked, fried, spicy and salty foods;
coffee;
Rye bread;
tomatoes, beans, cabbage.

So that heartburn does not bother, you need to include in the diet:

non-sour apples (there is severe heartburn from sour apples);
bananas, pears;
low-fat cream, low-fat non-acidic cottage cheese;
boiled stewed vegetables;
porridge.

What happens when the pH drops

With low acidity, heartburn occurs extremely rarely, but, nevertheless, such a phenomenon can occur. An insufficient amount of enzymes responsible for the breakdown of food during digestion provokes heartburn. At low pH, not only heartburn occurs, accompanied by burning, but also nausea and vomiting.

Signs of low pH

As mentioned above, the gastric juice contains acid, which is necessary for the neutralization of various harmful microelements, toxins, and bacteria. With a decrease in the level of acidity, the neutralization process is disrupted. Malicious organisms begin to multiply rapidly. An inflammatory process occurs on the gastric mucosa.

What are the signs of low stomach pH?

belching (accompanied by the smell of rotten eggs or putrid smell);
there may be in some cases a metallic taste in the mouth;
heaviness and feeling of distension of the abdomen;
dull pain in the stomach;
gas formation, accompanied by rumbling of the abdomen.

Treatment of low acidity should be carried out immediately after the onset of the first symptoms, especially if heartburn is present. This can lead to serious pathologies.

The following products are allowed with low acidity:

white dried bread (sometimes you can taste rye bread);
cereals;
low-fat meat, fish products;
dairy products (fat content not more than one), including a little butter;
sometimes - kvass, coffee, kefir, koumiss;
citrus;
sour apples - infrequently;
raspberries, grapes, apricots, peaches, cherries, strawberries;
weak broths.

Preparations that normalize the level of acidity:

Almagel;
Maalox;
Rutacid;
Talcid;
Rennie;
Vikair;
Vikalin;
Omeprazole;
esomeprazole;
pantoprazole;
Gaviscon;
Laminal.

Each of the drugs, despite its effectiveness, has contraindications, an exact schedule, a dosage that cannot be violated. And this is another reason to consult a doctor for treatment.

It is impossible to determine the level of acidity of gastric juice on your own. To do this, you need to undergo an examination in a hospital. It is important to establish the true cause, which may be the cause of heartburn. Only on the basis of these data to begin treatment, adhere to a diet. In people with high and low acidity, nutrition is different. At an elevated level, you should eat foods that help reduce acidity. At a reduced level, on the contrary, products that increase the production of hydrochloric acid. Therefore, self-treatment is at least not acceptable. What method of therapy the doctor will prescribe, what diet is provided, depends directly on the type of pathology.

Many at home try to deal with heartburn. But removing the symptoms is not treating the cause!

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How to get rid of severe heartburn if it does not go away?

Severe heartburn is a symptom that should not be ignored. Feeling of heaviness, burning sensation after eating, accompanied by pain in the stomach, indicate that a person is not eating properly, possibly abusing alcohol. Often the appearance of a strong burning sensation in the esophagus accompanies serious diseases of the gastrointestinal tract. The symptom may accompany diseases of the stomach, pancreas, liver, duodenum. Timely contacting a doctor and following simple rules of prevention will relieve severe heartburn and prevent the development of severe pathologies, such as peptic ulcer and oncology.

Possible reasons

The causes of severe heartburn lie in the wrong lifestyle. If a person abuses heavy food, drinks, smokes, the acidity of gastric juice increases, because fatty foods provoke increased production of hydrochloric acid. The load on the digestive organs increases, the body gets used to it, and increased acidity becomes the norm.

Less commonly, a person has a pathology of the structure of the sphincters of the esophagus or duodenum. A strong burning sensation, heaviness after eating also indicates serious diseases of the gastrointestinal tract:

ulcers of the duodenum, stomach;
cholecystitis;
duodenitis;
gastritis;
diaphragmatic hernia;
stomach infections.

If the matter is insufficiency of the sphincter (pulp, circular muscle), the gastric contents with digestive juice constantly enter the esophagus and injure the mucous membranes. In the duodenum, the environment is lower than the acidity of the gastric contents, so a strong burning sensation occurs when digested food enters the intestine too quickly.

Other causes of heartburn:

unstable psycho-emotional state, depression, neurosis, psychosis;
taking some strong drugs, for example, antispasmodics, adrenoblockers, anti-inflammatory drugs;
uncomfortable clothes, squeezing the stomach;
pregnancy;
abuse of strong tea, coffee;
excess weight;
operations on the gastrointestinal tract.

Quite often, the cause of severe heartburn is the microbe Helicobacter. In case of infection, the bacterium penetrates the mucous membrane of the stomach and duodenum and destroys them. The consequences of helicobacteriosis are peptic ulcer, gastritis, malignant tumors of the digestive organs.

Heartburn during pregnancy is also not uncommon. In the early stages, the symptom provokes progesterone, which relaxes smooth muscles, in the later stages - increased pressure on the abdominal region, as a result of which the gastric contents are ejected into the esophagus. The acidic environment has a detrimental effect on the mucous membrane of the esophagus, a person feels a strong burning sensation, sore throat, and abdominal pain.

If heartburn is very severe, its manifestations are noted often, then you should immediately see a doctor who will determine why attacks occur and prescribe the appropriate treatment.

Symptoms of the disease

Very intense heartburn is characterized by a feeling of discomfort in the epigastric region, which accompanies severe pain in the abdomen. A person experiences a burning sensation behind the sternum, while often tickling and sore throat.

Other signs of heartburn:

eructation of air with a sour taste;
severe dry cough that starts after eating;
attacks of nausea, vomiting, which is preceded by sour belching, pain in the stomach;
"lump" in the throat, difficulty breathing.

If the stomach hurts during sleep, the pain is accompanied by heartburn, most likely, a person develops a peptic ulcer, which begins with mucosal erosions.

What to do with severe heartburn

Treatment of heartburn should begin immediately, as soon as severe attacks begin. A person should consult a doctor for help and keep a diary in which he will note the frequency of attacks and write down the meals that he ate during the day. So you can identify foods that provoke severe attacks of heartburn, in order to further exclude them from the daily diet. You will have to give up heavy foods, fatty foods, sour fruits, such as citrus fruits.

If heartburn appeared suddenly and became very strong, the cause of the attacks will be identified by a timely visit to the doctor.

Quality rest plays an important role in the fight against heartburn.

The gastroenterologist will make a diagnosis after he conducts an examination and receives the results of the research:

Ultrasound of the digestive organs;
general blood test;
endoscopy;
radiography.

Based on the diagnosis, the doctor will prescribe treatment. Simple rules that help reduce the intensity and frequency of attacks relate to lifestyle. Since heartburn is often triggered by intense stress, a person must avoid stressful situations and learn to control emotions.

You can not overload the body physically and mentally, since such overloads only contribute to overeating, drinking alcohol and smoking. In order to avoid stress, it is better to go in for sports, not to overwork, to reinforce yourself with positive emotions that communicate with good people, pets, going to the theater, cinema, reading.

Perhaps creating a favorable background will help to cope with attacks. There were cases when a burning sensation, pressure, severe pain passed, as soon as a person improved his life and had more rest, began to take care of himself.

Medical preparations

What can be taken with severe heartburn, only a gastroenterologist knows. It is impossible to treat the stomach on your own! The doctor will select medications that will reduce the intensity of heartburn and prevent its recurrence:

antacids act effectively, reducing the level of hydrochloric acid in the gastric juice, but not for long, therefore they belong to the ambulance;
enzymes relieve the effects of overeating;
blockers that reduce the secretion of hydrochloric acid lose their effectiveness after prolonged use;
antisecretory drugs, which prevent the production of a large amount of hydrochloric acid, are taken before meals.

Medicines are aimed at reducing the intensity of heartburn. However, with prolonged use, they can harm, disrupting the secretory function of the stomach and pancreas even more. Therefore, a doctor, explaining to a person how to get rid of severe heartburn, is not limited to prescribing medicines.

Herbal decoctions and infusions

From severe heartburn, chamomile decoction, infusions of flax seeds, anise, fennel, dill, cumin help.

2 tbsp. l. dry chamomile inflorescences are brewed with a glass of boiling water, insisted for a quarter of an hour, filtered. Medicinal chamomile tea is drunk before meals. The broth should be slightly warm, better than room temperature.
1 tsp whole or ground flaxseeds are brewed with 0.1 l of hot water. If whole flaxseed is used, the remedy is infused overnight, diluted with warm water in the morning and drunk an hour or two before meals.
Ground flaxseeds are simply stirred in a glass of warm water and drunk in small sips.
Dill, cumin, fennel, anise seeds are mixed in equal proportions. 1 st. l. the mixture is brewed in a glass of hot water. Drink 1 tsp. within 2 weeks.

Help to cope with heartburn oatmeal and freshly squeezed potato juice:

For the preparation of juice, tubers of a new crop are taken. Solanine, a strong toxic substance, accumulates in last year's stale root crops.
To prepare oatmeal broth, 1 tbsp. whole grains are ground and brewed with 0.3 liters of boiling water. The product is ready for use after the broth has been infused in a thermos for 8 hours. It can be drunk constantly, half a glass three times a day, immediately before meals.

Folk remedies for severe heartburn do not replace drug therapy.

The effectiveness of decoctions and infusions depends on health and general condition. At home, they will not eliminate the cause of heartburn, for example, they will not get rid of Helicobacter pylori, but they will help maintain digestive function.

Products and diet

Proper nutrition plays a key role in the fight against severe heartburn. The diet involves the rejection of products - provocateurs of burning attacks. The diet should include dishes steamed, boiled, stewed in their own juice.

Eating fatty, fried, sour, spicy foods is unacceptable. You should abandon vegetables and fruits rich in organic acids, such as citrus fruits, melons, paprika, tomatoes, eggplants. A person with severe heartburn should not eat green and onion, garlic.

Sweets are contraindicated, especially chocolate, rich pastries. Nutritionists recommend that people with heartburn include whole-grain cereals boiled in water, vegetable soups and broths, stale bread, crackers, low-fat milk, mashed potatoes, neutral vegetables and fruits - baked or fresh.

You need to eat in small portions, but often, for example, 5 times a day, including a full breakfast, lunch, dinner and two snacks. It is necessary to have breakfast, you cannot skip meals, and it is better to have dinner two to three hours before bedtime.

It is necessary to drink a sufficient amount of liquid, water, slightly carbonated mineral water, unsweetened compotes, herbal teas.

What Not to Do

Often heartburn sufferers resort to folk remedies, which they hear about from relatives and friends. One such popular "medicine" is sodium bicarbonate, or regular baking soda. It is taken in unlimited quantities, thinking that it will neutralize hydrochloric acid. However, soda does not work for long, and will provoke a new, stronger attack.

People with severe heartburn should never self-medicate and take medications that have not been prescribed by a doctor. The medication should be taken under the supervision of a gastroenterologist. In addition, the time of administration and dosage should be observed. Do not increase or decrease the dose without consulting your doctor.

What to do if you suffer from heartburn during pregnancy

Women in position often go to the doctor about heaviness in the abdomen and burning in the throat after eating. Heartburn during pregnancy is caused by the hormone progesterone. In the later stages, the symptom occurs because pressure on the abdominal organs increases, and gastric juice is literally pushed into the esophagus.

Remedies for heartburn help to stop the attack, reduce discomfort and discomfort. However, you should not take them for a long time, because they "envelop" the mucous walls of the digestive tract and prevent the absorption of nutrients.

Pregnant women must follow the rules of prevention. For example, exclude from the diet foods that provoke heartburn attacks, do not lie down immediately after eating, do not bend over, sleep in a semi-sitting position. In addition, you need to be outdoors more often and get enough rest.

What to do if nothing helps

If heartburn does not go away after a person has taken the necessary measures, visited a doctor, adjusted his lifestyle, improved nutrition, it may be a serious illness.

For a detailed examination, most likely, you will have to go to the hospital, where they will do all the necessary tests. In some cases, surgery may be required. For example, if attacks of severe heartburn are provoked by insufficiency of sphincters, only surgery will help.

Sometimes you need the help of a psychotherapist who will help you cope with stressful situations, teach you how to control emotions and relax.

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Heartburn. Treatment and causes of heartburn

The most common cause of heartburn is acid from the stomach into the alkaline environment of the esophagus.

Heartburn is a burning sensation along the esophagus, more often in its lower third, one way or another associated with the reflux of gastric contents into the esophagus (the so-called gastroesophageal reflux). In most cases, this phenomenon indicates an increase in the acidity of gastric juice.

Stomach acidity and the cause of heartburn according to Bolotov

Once again about the acidity of the stomach. It is generally accepted by modern medicine that heartburn is caused by increased acidity of the stomach. Bolotov claims, and doctor-practitioner Naumov D.V. confirms that there is no increased acidity of the stomach! The normal acidity of the stomach should be pH = 1.2. With such acidity, pepsins are good at pickling food, the acidity of the blood is normal, the body is well acidified and cells are regenerated.

Official medicine believes that now the average acidity of the stomach in the population is between pH 3-4. Although about thirty years ago it was within the pH of 2-3. How can it be that acidity is falling, and the number of people suffering from stomach problems, including constantly having heartburn, is increasing. This is nonsense.

From the point of view of Bolotov's Medicine, everything is natural. Reducing the acidity of the stomach is one of the causes of heartburn. pH = 4 indicates that alkalis from the duodenum enter the stomach. There is a reaction of neutralization of the acidic environment of the stomach with an alkaline environment. The reason is banal - the pylorus does not work, the valve between the stomach and duodenum

One of the most common causes of poor functioning of this valve and the entire gastrointestinal tract are nervous disorders. Here you can help only by a reminder that everyone knows very well, but does not do it. Eating should be in a calm environment and the person himself should enjoy food. Eat without overeating. After eating, at least a minute to enjoy the filling of the stomach. During the meal, do not solve problems and do not be nervous. To be consumed by a meal. But alas, the rhythm and style of life postpones all this knowledge for later. Well, in general, we will find enough reasons to justify ourselves.

We remember these truths when the disease has already pressed against the wall. We begin to rethink values, for example, that health is most important (which we always emphasize with a toast when drinking vodka). So, the appearance of heartburn is the first bell that it's time to do something with the gastrointestinal tract.

If the first appearance of heartburn has not exceeded some ten years, then getting rid of it will be very simple. Otherwise, you probably already have a whole bunch of diseases and not only related to the gastrointestinal tract.

Heartburn treatment

The first thing to do is take carrot cakes. This procedure will take one month. In the morning, an hour before breakfast, swallow, without chewing, 3 tbsp. spoons of cake. To facilitate swallowing, we recommend making small balls the size of a bean. If you still choke, then you can drop one drop of sour cream on each bean. Just try it without sour cream first, after all, the effect will be great if you swallow the cakes themselves.

The second thing that needs to be observed is to start eating right. We wrote about this in the article “Principles of a healthy diet”. Pay special attention to this. This is a reminder for a lifetime.

Next, you need to acidify the body. This is written in almost every book by Bolotov. Do not be too lazy to read and start sour. Let's just say that you need to wipe the skin with ordinary table vinegar (9%), diluting it by half with warm water. Wipe the whole body once a day for two to three weeks. This will facilitate the introduction of the missing acids into the body through the skin, bypassing the gastrointestinal tract when the stomach cannot take the acids.

Contribute to the improvement of the digestive tract will be the intake of celandine enzyme. Recall that it should be taken half an hour before meals, three times a day for 2-3 tbsp. spoons. If you want more, then at least half a glass. To health.

And further. This should become the norm. A minute after eating, you need to suck 0.3-0.5 grams of salt. Salt must be completely dissolved (so that there are no salts) and swallowed. And so after each meal. This will contribute to the fastest restoration of the correct operation of the pylorus.

One of my good friends, whom I met at Bolotov's, named Boris, also suffered from heartburn. I met him when he came again to Bolotov for an explanation. He asks Boris Vasilyevich how it can be that he drank "royal vodka" for two months, swallowed cake from carrots for a month and a lot of problems went away. Bent 7 or 8 fingers, listing the problems that he had. And bloating, and flatulence, and hemorrhoids, and heartburn, and others. Whether there is heartburn, checked in this way. I didn’t eat anything all day, and drank only coffee prepared in not the best establishments. And there was no heartburn, although earlier he had it from one cup. And he also had to give up the mini pharmacy that he had in the glove compartment of his car.

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Symptoms of low stomach acid

Diseases of the gastrointestinal tract are a fairly common occurrence. At the same time, most people suffer from increased acidity of gastric juice. But what is the danger and what are the symptoms of low acidity of the stomach, not many people know.

As a rule, a decrease in the acidity of gastric juice occurs under the influence of certain adverse conditions. Provoking factors can be diseases such as gastritis, gastroduodenitis, or cancerous tumors. The presence of such pathologies is most often accompanied by a violation of the normal functioning of the fundic glands, up to their complete atrophy. However, it should be noted that in some extremely rare cases, a decrease in the acidity of gastric juice occurs for no apparent reason.

A decrease in acidity leads to the fact that pathogens that have entered the stomach and intestines begin to multiply. As a result, inflammatory processes develop and infectious diseases occur. Therefore, if a person feels unexpectedly appeared processes of active fermentation, accompanied by pain in the intestines, flatulence, bloating, severe heartburn, it is necessary to consult a gastroenterologist. It is possible that the level of acidity of gastric juice is lowered.

Another reason for such adverse symptoms is insufficient protein absorption with low acidity. Because of this, an excessive amount of toxins and other decay products are formed and accumulated in the human body. These circumstances significantly worsen the human immunity, as a result of which the risk of developing viral diseases increases.

Particular attention should be paid to heartburn. Most people believe that such an extremely unpleasant sensation manifests itself only with increased acidity of gastric juice. This is a wrong opinion. Even a small amount of hydrochloric acid is enough to start heartburn. Moreover, with low acidity, heartburn is stronger, exhausting and painful.

In addition to the already noted symptoms that speak of low stomach acidity, bad breath and persistent constipation are a striking indicator of this pathology. This is due to a decrease in the motility of the intestines and stomach. A putrid smell provokes the processes of decay, and constipation is so persistent that sometimes it is impossible to cope with them even with the help of laxatives.

In addition, some indirect warning signs may indicate low acidity of gastric juice. These include the presence of Giardia, often recurring fungal diseases, the presence of undigested food in the feces.

All the considered symptoms of low acidity of the stomach are the basis for an urgent appeal to a gastroenterologist who will examine the gastrointestinal tract and prescribe an appropriate course of treatment. In each case, medications are selected individually based on the identified pathology and test results. Therefore, self-medication is unacceptable.

It should be noted that the choice of drugs intended for the treatment of low stomach acidity is extremely small. Basically, stimulants are used that increase the production of gastric juice, which include drugs containing hydrochloric acid. Herbal medicines are also used, which include pharmaceutical herbs such as peppermint, fennel, and wormwood. Moreover, all therapeutic agents should be taken under the strict supervision of a gastroenterologist.

A prerequisite for productive treatment is adherence to a special diet and maintaining a healthy lifestyle. Take care of yourself!

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The information on our website is informative and educational in nature. However, this information is by no means a self-medication guide. Be sure to consult your doctor.

At what acidity of the stomach does heartburn occur: low or high

Probably, every person at least once experienced a burning sensation behind the sternum, bitterness in the mouth, the appearance of belching, pain in the peritoneum, which indicates a malfunction of the digestive system. However, heartburn is that increased or decreased acidity? It appears in a person shortly after eating, sharp bends, playing sports.

Mechanism of Education

When food enters the stomach, a saline solution begins to be produced to destroy pathogens.

The mucous membrane is endowed with protective properties, so it does not suffer from it. But if the safety valve of the stomach opens on its own, oxidized food can enter the esophagus and cause a burning sensation.

Increased acidic environment

Heartburn from hyperacidity is the result of excessive production of gastric juice. Its distinguishing features are bitter belching, undulating pains in the peritoneum, pain on the right side in the upper body. Usually burning and bitterness appear soon after eating.

The reasons provoking an increase in the concentration of an acidic environment can be:

the use of legumes, milk, provoking bloating;
unbalanced, malnutrition, passion for harmful foods;
the use of carbonated, tonic drinks.

Frequent alcohol consumption also causes heartburn from high acidity.

Refusal of the following types of products will help to prevent bitterness, burning with high acidity:

fried, smoked, salted, spicy;
citrus;
all types of coffee;
tomatoes, legumes, cabbage;
rye bread.

Green fruits and vegetables complete the list.

Reduced

It is characterized by a high content of alkaline medium, measured in units of pH. But does heartburn happen with a low acidic environment? In this case, it occurs along with nausea, vomiting. Such heartburn is caused by a deficiency of protein molecules or complexes that are involved in the digestive act. This can happen due to excessive use of drugs, harmful products, and an unhealthy lifestyle.

An increased amount of alkali disrupts the process of food oxidation in the stomach, which leads to the multiplication of pathogenic microorganisms. Their increased population turns into inflammatory processes.

The resulting heartburn with low acidity of the stomach provokes an eructation with a putrid odor, heaviness and a feeling of bloating, aching pain, stomach rumbling, flatulence. In addition, you may see:

acne;
constipation or diarrhea;
bitter belching, which indicates low acidity;
reduced immunity;
dilated blood capillaries on the face.

The resulting heartburn with low acidity also threatens with diseases, as well as increased.

Important! If there are any factors indicating that the acidic environment is reduced or increased, you should contact a gastroenterologist.

The causes of an unpleasant burning sensation can be:

insufficiency of the necessary microelements, minerals, groups of vitamins;
improper diet, lifestyle;
insufficiency of protein complexes for food processing.

Bad habits also affect the increase in the alkaline environment.

Conclusion

To avoid the feeling of bitterness, burning, you need to know what type of heartburn is, this will determine further treatment. It will be possible to lower the saline solution by including pure mineral water in the diet, sucking a teaspoon of honey, chamomile infusion or tea. Will boost her white bread, low fat dairy products, berries and fruits of any color. However, home treatment does not exempt you from going to the doctor's office.

Heartburn occurs with both high and low acidity. More often with increased In this case, there is a burning sensation, often - belching with a sour taste, sore throat, extending to the sternum. Treatment of heartburn should begin with the establishment of the causes that cause this condition. Therefore, self-treatment at home is not recommended. First of all, you need to undergo an examination and, based on the data obtained, prescribe treatment. It is important to stick to a diet and know which foods can trigger heartburn.

Mechanism of heartburn development

What happens at elevated pH

What are the symptoms of high pH?

heartburn;
burning in the esophagus;
there is an eructation with bitterness;
paroxysmal pain in the stomach;
aching pain in right side.

Important! The concept of harmful products with high acidity is relative. You should always consult with your doctor before starting treatment, make a diet. Initially, you need to find out whether a person has high acidity or low acidity. And from this build on the diet.

Foods that cause heartburn at elevated pH:

alcoholic beverages (cause intensive production of gastric juice, increase the sensitivity of the mucous membrane of the esophagus);
lemons, oranges, tangerines (contain a high percentage of acidity, cause an increase in pH);
fatty, smoked, fried, spicy and salty foods;
coffee;
Rye bread;
tomatoes, beans, cabbage.

So that heartburn does not bother, you need to include in the diet:

non-sour apples (there is severe heartburn from sour apples);
bananas, pears;
low-fat cream, low-fat non-acidic cottage cheese;
boiled stewed vegetables;
porridge.

What happens when the pH drops

Signs of low pH

What are the signs of low stomach pH?

belching (accompanied by the smell of rotten eggs or putrid smell);
there may be in some cases a metallic taste in the mouth;
heaviness and feeling of distension of the abdomen;
dull pain in the stomach;
gas formation, accompanied by rumbling of the abdomen.

Treatment of low acidity should be carried out immediately after the onset of the first symptoms, especially if heartburn is present. This can lead to serious pathologies.

The following products are allowed with low acidity:

white dried bread (sometimes you can taste rye bread);
cereals;
low-fat meat, fish products;
dairy products (fat content not more than one), including a little butter;
sometimes - kvass, coffee, kefir, koumiss;
citrus;
sour apples - infrequently;
raspberries, grapes, apricots, peaches, cherries, strawberries;
weak broths.

Preparations that normalize the level of acidity:

Almagel;
Maalox;
Rutacid;
Talcid;
Rennie;
Vikair;
Vikalin;
Omeprazole;
esomeprazole;
pantoprazole;
Gaviscon;
Laminal.

Each of the drugs, despite its effectiveness, has contraindications, an exact schedule, a dosage that cannot be violated. And this is another reason to consult a doctor for treatment.

Many at home try to deal with heartburn. But removing the symptoms is not treating the cause!

The appearance of heartburn depends not only on external factors: overeating, smoking, drinking acidic foods, coffee and carbonated drinks. The occurrence of this painful symptom can also be influenced by internal changes, for example, the acidity of gastric juice. It depends on the type of disease, hereditary predisposition to a particular disease. At what acidity there is heartburn - we have to find out now.

Methods for determining acidity

Acidity or alkalinity is important for many chemical processes in nature and in our body. The efficiency of a particular chemical reaction directly depends on the surrounding pH of the medium.

What is acidity

What is acidity and alkalinity? This is the concentration of hydrogen ions in a solution, making it either acidic, neutral, or alkaline. This pH indicator is commonly referred to as pH (lat. pondus Hydrogenii - the strength of hydrogen), with a numerical value from 0 to 14.

Values that are less than 7 (pH<7) обозначают кислую среду, и чем ниже это числовое значение, тем более кислотной является среда. Например, нормальная кислотность желудочного сока составляет pH=1–2, что является резко кислой средой.

It is customary to designate an alkaline environment as a numerical indicator pH> 7, and the higher this indicator, the more alkaline the environment is.

pH=7 is a neutral indicator. This is the pH of pure water.

In recent years, such a method as pH-metry or the study of the acidity of gastric contents has been used very rarely. It is considered uninformative. And it is prescribed only in controversial situations, when the treatment does not bring the desired result for a long time. The essence of the study is the introduction through the mouth or nose into the cavity of the stomach of thin tubes - pH probes up to a certain mark. The probe has measuring electrodes that make it possible to study:

the level of acid in several parts of the digestive system at once;
this method makes it possible to determine whether heartburn will appear with a low acidity of the stomach.

Thanks to more accurate mechanisms, FGDS (fibrogastroduodenoscopy) pushed probing into the background.

Daily pH monitoring

This type of study, such as 24-hour pH monitoring, has become more widespread. This diagnostic has a number of advantages.

It is carried out on an outpatient basis.
The total number of episodes of lowering the pH in the esophagus and stomach and their duration are counted.
It helps to clarify what acidity is observed with heartburn and periods of burning pain, what the body reacts to.
In the process of pH-metry, an alkaline test is carried out. Drinking soda dissolved in water is injected through the probe. In the process, the indicators change from acidic (the norm in the antrum is not lower than 2) to alkaline. The period when they are restored back is called the alkaline test. In a healthy person, this time is approximately 17-20 minutes.

Diseases with altered acidity

Almost any disease of the upper digestive system is accompanied by a change in the pH level. How to understand heartburn - is it an increased acidity of the stomach or reduced?

Most often, burning behind the sternum occurs under the influence of pathological reverse reflux of food or acid from the stomach into the esophagus. With a weak lower esophageal sphincter (a round muscle between the stomach and esophagus), such casts are common. Normal esophageal acidity is between 6 and 7 pH. If hydrochloric acid enters the lumen, then the pH level decreases, which means that the acidity of the esophagus increases and discomfort occurs. Therefore, heartburn appears with increased acidity of the stomach. This symptom is more common:

with GERD;
hyperacid gastritis;
stomach ulcer;
duodenal ulcer.

The lowest acidity at which the esophagus will function normally is 6. Below this level, the functioning of the mucosa is disrupted. Over time, areas with mucosal defects or erosion may develop. If hypoacid gastritis has developed (the pH level varies between 4-6), whether burning pains appear depends on the specific case.

Does heartburn occur with low acidity? A very real situation. This can happen when the parietal cells of the stomach (those that produce hydrochloric acid) are atrophied or their function is significantly reduced. One of the main functions of gastric juice is bactericidal. When the acidity index is reduced, it is not performed. There is a stagnation of food in the body, the motility of the stomach decreases sharply. If the function of the sphincter is impaired - the food bolus acts on the mucosa of the esophagus, heartburn may occur.

Another key point is a neutral pH. In this case, parietal cells practically cease to produce hydrochloric acid, food disinfection does not occur. Food accumulates in the digestive system, gradually starting to ferment. Heartburn with such zero acidity will not be felt, a person will be disturbed by belching, constipation, pain in the stomach.

Treatment of diseases with different acidity

proton pump inhibitors or H2 histamine receptor blockers;
antacids after eating a long course;
in violation of the evacuation function of the stomach - prokinetics.

Not the least important in the treatment of heartburn with high acidity is the diet, organization of work and rest.

The appearance of heartburn is primarily affected not by the changed pH level, but by the work of the muscles of the esophagus, acidity is only an additional factor. Do not be afraid if you have not done a study of the level of stomach acidity. According to the changed mucosa, a competent doctor will always determine what type of disease. The main thing is to contact the right specialist in time.

Do you have heartburn or acidity? It's not the same!

Many suffer from one of the digestive disorders; this is usually due to an unbalanced diet.

In this article, we will explain what causes heartburn and acidity and how to tell them apart. This will help you deal with violations. digestion(if any) and find suitable natural remedies to cope with them (we will also talk about them).

Causes of digestive disorders

To appear as heartburn, and hyperacidity can lead to the same wrong eating habits:

Combine incompatible foods in one meal - for example, meat and fish, dairy products and meat, etc.
Overeat. You can not overload the stomach; It is better to eat more often, but little by little.
Eat fatty desserts after meals, as well as desserts made from dairy products and / or with sugar; they interfere with the digestion of food and contribute to weight gain. It is better to eat desserts some time after breakfast or lunch.
There are citrus fruits for dessert. Acids are poorly absorbed after eating; it is better to eat an apple or a pear, and leave citrus fruits in the morning.
Eating too fast without chewing food.
Drink plenty of water with meals. It is better to drink water half an hour before meals and some time after meals.
Is under stress anxiety or irritation. We should try to eat in a calm state, in a pleasant environment, not doing other things and avoiding companies that unbalance us.
long time to takeantacids, which can change the pH of our stomach.

At heartburn the stomach secretes an insufficient amount of gastric juice, due to which fermentation occurs in the stomach, and food is poorly digested.

In this case, there are such symptoms:

Digestion slows down and becomes difficult.
After eating there is heartburn.
Hunger and restlessness.
There is a feeling of fullness in the stomach.
Constipation, gas, and gum disease can also occur.

How to deal with heartburn

The following tips can help you manage these symptoms:

There is less and more.
Do not eat too hot or too cold food.
Although we experience anxiety while eating, we must try slowly and chew food well.
Take natural nutritional supplements based on digestive enzymes; they must correspond to food components that are less digested (fats, proteins, carbohydrates).

Acidity

Acidity gastric juice is completely different: the stomach produces too much acid, so food is digested quickly. Increased acidity is expressed in the following symptoms:

Irritation of the stomach is felt before eating.
There is also a strong appetite; after eating, stomach irritation associated with high acidity is removed.
Constantly thirsty (moreover, I want cold drinks).
With increased acidity, constipation and inflammation of the gums are also possible.

Means for reducing hyperacidity

Although food in this case soothes the irritation associated with high acidity, do not lash out at everything, choose healthy and fresh foods and chew your food thoroughly.
Avoid acidic foods and those that increase the acidity of the body- citrus fruits, refined flour and sugar, fried foods, dairy products, red meat. You can eat lemon - although it tastes sour, it neutralizes the acids in our stomach.

If you need to take antacids - because of heartburn or because of hyperacidity - let it be natural remedies that alkalize the body without altering the normal pH of the stomach. We will try to do without drugs and soda, which can also be harmful.

Umeboshi Plums: Japanese umeboshi plums have a sharp, sour-salty flavor due to the fermentation they undergo. They are very helpful. Let's put such a plum in the middle of the tongue, hold it there for a few moments and swallow it.

White clay (for oral administration): White clay is a very useful supplement, it helps to remove toxins from the body and perfectly alkalizes the body, reduces its acidity. Put a spoonful of clay in a glass of water. Stir it (the spoon should not be plastic or metal). After 10 minutes, this solution can be drunk.
raw potato juice: potato the juice, despite the specific taste and texture, is a natural antacid that you always need to have "at hand". You can squeeze juice from well-washed and peeled potatoes, or you can buy ready-made juice from a natural food store.

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Heartburn and Stomach Acidity: Foods That Cause These Problems

Heartburn, increased acidity of the stomach and gastritis are very common diseases in the modern world.

The main causes of the prevalence of diseases of the gastrointestinal tract are stress and malnutrition.

Burning in the stomach is the main symptom, which can be aggravated during meals. In this article, we will tell you about foods that increase the acidity of the stomach and can cause heartburn Therefore, it is better to reduce their consumption or abandon them altogether.

Diet and stomach acid

When we eat acidic foods every day, the stomach and the body as a whole begin to get used to this type of food and the acidity of the stomach increases.

The stomach can't handle that much acid, and at some point it rises up the throat, causing acid reflux. In addition, it causes a burning sensation in the stomach, also known as heartburn.

The good news is that all of these problems can be solved with proper nutrition. We recommend that you eat more alkaline foods, especially fruits and vegetables.

So you get rid of unpleasant painful symptoms.

What foods should be avoided for heartburn?

"We are what we eat." This phrase perfectly characterizes our life, especially the life of those people who suffer from hyperacidity.

Do you want to know which foods can cause severe heartburn attacks? These include:

This includes fried potatoes and fried chicken. In particular, this includes fast food, which contains a lot of trans fats.

Such food often causes pain and problems with the digestive tract from the very moment we start eating it. In addition, it is a heavy meal that is very poorly and slowly digested.

The stomach needs a lot of time and gastric juice to digest such food. It can also increase pressure in the stomach and interfere with the normal elimination of waste from the body.

It is an essential drink for modern life and the office. We all drink it in huge quantities because it is very useful if we have a lot of work to do. It supplies us with energy and improves tone.

High levels of caffeine cause the stomach to secrete even more stomach acid. That is why immediately after we drink coffee, the acidity of the stomach rises.

You can switch to decaffeinated coffee, but it is much better to drink natural fruit juices, which will restore the body's water balance and supply it with the energy you'll need throughout the day.

Pastries and bakery products

This includes buns, bread and sweet biscuits. All these foods, although very tasty, increase the acidity of the stomach. The situation worsens if preservatives or chemical dyes are added to them.

It is best to avoid any foods high in sugar and refined white flour, because they increase the acidity of the stomach and provoke the terrible symptoms that cause us so much discomfort.

Cold drinks

Carbonated drinks, especially Coca-Cola, contain quite a lot of caffeine and have the same effect on our body as coffee.

Soft drinks generally increase pressure and acidity in the stomach. As an alternative, it is better to drink mineral water without gas or a cold infusion, which will help you cope with thirst and quickly restore the body's water balance.

They not only sharply increase acidity, but also cause dehydration of the body, causing us to get fat. The body is poisoned every time we drink alcohol, even if it's just one glass.

This can lead to stomach problems, reflux, and in cases of pronounced alcoholism, cirrhosis and other liver pathologies. Do not be afraid to drink a couple of glasses from time to time. The main thing is that it does not become a habit.

Do not eat Mexican or Indian food because it contains a lot of spicy, hot spices and seasonings, which greatly irritate the digestive system. Spicy sauces, curries, chili and cumin can be very dangerous if you suffer from hyperacidity.

If you want to try some exotic dish, you can ask the waiter not to make it spicy or bring the hot sauce separately. Even a moderately spicy dish can be fraught with too many spices and provoke gastritis, acidity or reflux.

Every time you eat meat, the body has to work very hard to digest it, and this increases the level of acidity in the stomach. A large piece of red meat can be highly acidic, especially when compared to other foods.

Give preference to white and lean meats(chicken, turkey or fish) and cut back to twice a week.

You must have read that a cup of cold milk can help with heartburn and acidity when taken before bed. It's actually not the best alternative. In this case, it is better to limit yourself to a glass of water.

Dairy products cause the body to produce even more acid, especially if we eat them as a dessert or after the main meal, when the stomach is already full.

How do you know if eggs are fresh and how safe they are for health?

Does heartburn occur with low and high acidity of the stomach

Mechanism of heartburn development

What happens at elevated pH

What are the symptoms of high pH?

heartburn;
burning in the esophagus;
there is an eructation with bitterness;
paroxysmal pain in the stomach;
aching pain in right side.

Foods that cause heartburn at elevated pH:

alcoholic beverages (cause intensive production of gastric juice, increase the sensitivity of the mucous membrane of the esophagus);
lemons, oranges, tangerines (contain a high percentage of acidity, cause an increase in pH);
fatty, smoked, fried, spicy and salty foods;
coffee;
Rye bread;
tomatoes, beans, cabbage.

So that heartburn does not bother, you need to include in the diet:

non-sour apples (there is severe heartburn from sour apples);
bananas, pears;
low-fat cream, low-fat non-acidic cottage cheese;
boiled stewed vegetables;
porridge.

What happens when the pH drops

Signs of low pH

What are the signs of low stomach pH?

belching (accompanied by the smell of rotten eggs or putrid smell);
there may be in some cases a metallic taste in the mouth;
heaviness and feeling of distension of the abdomen;
dull pain in the stomach;
gas formation, accompanied by rumbling of the abdomen.

Treatment of low acidity should be carried out immediately after the onset of the first symptoms, especially if heartburn is present. This can lead to serious pathologies.

The following products are allowed with low acidity:

white dried bread (sometimes you can taste rye bread);
cereals;
low-fat meat, fish products;
dairy products (fat content not more than one), including a little butter;
sometimes - kvass, coffee, kefir, koumiss;
citrus;
sour apples - infrequently;
raspberries, grapes, apricots, peaches, cherries, strawberries;
weak broths.

Preparations that normalize the level of acidity:

Almagel;
Maalox;
Rutacid;
Talcid;
Rennie;
Vikair;
Vikalin;
Omeprazole;
esomeprazole;
pantoprazole;
Gaviscon;
Laminal.

Each of the drugs, despite its effectiveness, has contraindications, an exact schedule, a dosage that cannot be violated. And this is another reason to consult a doctor for treatment.

Many at home try to deal with heartburn. But removing the symptoms is not treating the cause!

Ayurveda and natural medicine

Although there are various strong chemical treatments for heartburn and acidity in pharmacies, the problem can be solved with the help of the following simple natural remedies.

Aloe. Take 2 tablespoons of aloe juice/gel with a pinch of baking soda. The calming effect will appear immediately.

Soluble pop. You can try this recipe too. Add to a cup of water:

lime (or lemon) juice - 10 drops

natural sugar - 1/2 tsp

Put the baking soda last, because after that a reaction will occur with the release of gas. Drink the mixture immediately, this will help neutralize the increased acidity and eliminate heartburn.

Papaya juice. For hyperacidity and indigestion, drink papaya juice with the addition of natural sugar (a teaspoon) and two pinches of cardamom per cup of juice.

ATTENTION! Pregnant women should not eat papaya fruits, as they contain natural estrogens and may create a risk of miscarriage.

The nature of nutrition. In most cases, acidity can be managed by following a pitta-calming diet. Avoid any hot spicy food. No marinades or fermented foods. Minimize your consumption of citrus fruits or avoid them altogether. Don't overeat.

Breathing exercise. With heartburn, Sitali pranayama helps. It not only has a cooling effect against excess pitta, but also stimulates digestion.

If the recommended remedies do not help get rid of heartburn, if heartburn often occurs for no apparent reason, you should consult your doctor. If heartburn is accompanied by vomiting, rapid breathing, dizziness, and chest pain that radiates to the neck or shoulder, urgent medical attention is needed. This can lead to a heart attack.

Heartburn with high acidity

In order for any, even the most healthy organism to function correctly, it is necessary to follow certain rules and be guided by them throughout life. Many diseases arise due to the fact that people make gastronomic mistakes, leading to the fact that heartburn with high acidity becomes literally an integral companion that you want to get rid of all the time.

Increased stomach acid

Causes of increased stomach acid

Nothing appears for no reason. Any failure in the work of the human body must be provoked. Physicians divide problems with high acidity into external and internal causes.

There are the following external causes of increased acidity of the stomach:

Bad habits: smoking, addiction to alcohol.
Wrong nutrition.
Self-medication and uncontrolled intake of drugs.
Work in hazardous industries.
Consumption in large volumes of hot, spicy, fatty, fried, spicy, pickled foods.

It is this neglect of your health that leads to an increase in acidity. Although, to a greater extent, internal causes are to blame for stomach problems, which include:

Increased acidity of the stomach: symptoms

No problem appears for no reason and does not manifest asymptomatically. If a person is tormented by one of the following symptoms, then it's time to take your health seriously.

Increased acidity of the stomach symptoms, often has the following:

Heartburn.
Belching.
Aching pain in the abdomen. At the same time, as soon as the feeling of hunger appears, the pain increases significantly.
Loss of appetite.
As a result of constant discomfort, depression can develop.
Diarrhea or constipation.
Constant heaviness in the abdomen even after bowel cleansing.
Bloating.

When a person has increased stomach acidity, the main symptoms of its manifestation cause unprecedented discomfort and worsen well-being.

Heartburn with high acidity: treatment

Treatment should be carried out using the following recommendations:

Diet food. It should become the norm. The following dishes should be present in the main diet to a greater extent: vegetable purees, buckwheat, rice porridge, scrambled eggs, mashed potatoes, oatmeal. From vegetables, preference should be given to the following: rutabaga, cauliflower, carrots, potatoes. Almost all fruits can be consumed, with the exception of citrus fruits and apples. From drinks you should drink kissels, compotes and not strong green tea.
Medications: anticholinergics, histamine blockers, anthracid drugs, flow pump blockers are taken strictly for their intended purpose and only in a clear dosage indicated by the doctor.

Medicines for heartburn with high acidity

Self-medication almost always leads to disastrous results. Therefore, all drugs for heartburn with high acidity are prescribed by a doctor. Most often, the following medicines are recommended to eliminate heartburn and normalize the pH level in the stomach:

Proper medication and a balanced diet can literally work wonders. The main thing is to follow all the recommendations and then heartburn will no longer bother.

Treatment of heartburn with folk remedies for high acidity

Many people, knowing some tricks, treat heartburn with folk remedies for high acidity at home. It cannot be said that they are very effective and long-lasting. Most often, people simply relieve heartburn, and do not treat their painful condition.

Milk. A glass of milk at room temperature quickly suppresses heartburn and reduces acidity.
Natural vanilla ice cream. 50 grams of ice cream, suppresses hyperacidity.
Mint. 5-10 mint leaves are poured with boiling water and allowed to cool completely. An hour after eating, you can take this drink to help neutralize heartburn.
Water. One hour before a meal or an hour after it is recommended to drink one glass of water. In addition, to normalize the pH, it is recommended to drink up to 8 glasses of pure water per day.
Basil. After each meal, chew on a few leaves of basil.

Treatment of heartburn with high acidity is quite simple, but it is effective. Therefore, to prevent your condition, you can resort to it from time to time.

Herbs for heartburn with high acidity

There are various fees that use herbs for heartburn with high acidity. Some of the more popular herbs include:

The proposed herbs for heartburn with high acidity can be perfectly combined and create your own decoctions and infusions, since not every person is suitable for the same concentration of medicinal plants.

Honey for heartburn with high acidity

By itself, honey is already a very useful medicine. But, using it in a concentrated form is not always good for the stomach. Therefore, honey for heartburn with high acidity should be consumed exclusively with water. Two tablespoons of natural honey must be diluted in a liter of warm water. Mix well and divide into 4 doses. The first must be done before breakfast, the second before lunch, and the third before dinner. The fourth is recommended to be consumed half an hour before bedtime. The course of treatment should last at least a month. It should be repeated after 4-6 months.

Nutrition for heartburn and hyperacidity

Proper nutrition for heartburn with high acidity always brings invaluable benefits. It is important to consume in small portions, but more times. If heartburn bothers you a lot, then you should take warm soups based on vegetables. Even if in the first week they become the main diet, it will be possible to restore acidity in no time. Weak broths from chicken, turkey or rabbit fillets also have a beneficial effect on the stomach. Kissels and knots perfectly neutralize acids. All harmful products should be abandoned for a long time.

Products for heartburn and hyperacidity

In this case, moderation should be observed. Therefore, products for heartburn with high acidity, everyone can select based on individual preferences, but guided by the advice of specialists. The diet should mainly consist of cereals and low-fiber vegetables. Dairy products should be avoided. Fruits are allowed in small quantities. But, plums, citrus fruits, pineapples and apples are preferable to exclude.

Heartburn with increased acidity, a phenomenon that occurs quite often. Every person has nutritional breakdowns. But this disease can be dealt with if the right measures are taken in time to eliminate it.

Gastritis with high stomach acid

The diagnosis of "gastritis" in our time will not surprise anyone, rarely someone can boast of the iron health of their own stomach. There are many prerequisites for the development of the disease - here you have stress at work or at home, and physical activity, and bacteria transmitted from carrier to carrier with incredible ease. Food poisoning, overeating, as well as indulgence in one's own bad habits are not excluded.

Usually, pathology is classified according to several parameters, including:

determination of the nature of the course, acute or chronic;
assessment of the depth of damage to the gastric mucosa and layers of the epithelium of the organ;
determination of acidity, which can be low or high.

When a high acidity of the stomach is diagnosed, patients immediately have many questions, including: where did such an attack come from and what to do to get rid of it.

Increased acidity - what provokes it

Let us consider in detail what is increased acidity of the stomach, symptoms and treatment. At the heart of increased acidity are nutritional errors. Our ancestors did not have such problems - in any case, on such a scale as now. The daily menu of an ancient person, according to anthropology, was alkaline in nature. However, the agricultural industry gradually developed, which significantly influenced the diet of modern man. Today, the factors affecting the increase in acidity include:

inclusion in the menu of dishes spicy, fatty, fried and flavored with many spices;
abuse of nicotine and alcohol-containing drinks;
eating foods that are harmful, low-quality, sweet and fatty;
the use of strong coffee, tea, a large amount of chocolate and other aggressive products;
stressful situations, physical and emotional overload.

By the way, acidity itself is not a disease, it is a condition of the stomach, which in certain cases is the underlying cause of gastritis. The factors listed above are exogenous - external - causes. However, there are also internal reasons, the main of which is a genetic predisposition. And, of course, the presence of pests, the same Helicobacter pylori in the body also greatly affects the occurrence of gastritis and stomach acidity.

Let's see how this form of gastritis manifests itself. Usually symptoms include:

pain manifestations in the epigastric region, under the rib on the left;
heartburn, sour belching - they are considered the main signs;
nausea, vomiting, flatulence, change in appetite upwards or downwards;
pains hungry and manifested at night.

If the form of gastritis with high acidity is chronic, then the signs of the disease are not so obvious, they mainly appear when they are provoked:

overeating;
long intervals between meals;
alcohol, smoking and malnutrition;
food poisoning;
stressful situations.

The result may be the occurrence of erosion and ulceration of the mucous layer.

What is the treatment for high acidity? The main pharmaceuticals used in the event of a pathology are antacids and medicines that reduce the production of hydrochloric acid. The most effective and commonly used are proton pump inhibitors, which include omez, gastrosol, and others like it. At the same time, every three months the results of therapy are evaluated for effectiveness. If positive dynamics is not observed, substitutes for prescribed drugs are determined.

Antacids are presented in gels, tablets, emulsions and are used as a symptomatic treatment that relieves pain and heartburn. Maalox, Almagel and others are prescribed, while the course of therapy is no more than 14 days in order to avoid constipation and reduce bowel functionality.

What to take to restore the microflora and envelop the stomach? Of the enveloping preparations, flaxseed, smectite is very effective. Enzymes and probiotics can be prescribed - festal, creon and others. In addition to drug treatment, physiological procedures have proven themselves well, including electrophoresis, UHF, and paraffin applications applied to the epigastric zone.

Often a course of antibiotics is required to get rid of Helicobacter pylori, antispasmodics are also used to relieve pain - no-shpa and papaverine. In addition to gastritis itself, treatment of comorbidities can also be prescribed. For a full recovery from ulcers and hernias, surgical treatment may be involved.

Diet and traditional medicine

Mandatory point of treatment of gastritis with high acidity is a diet. At the same time, it should include the required amount of fats, carbohydrates and proteins, as well as minerals and vitamins. From the menu it is necessary to remove products that provoke irritation of the mucous layer, as well as those that increase the production of hydrochloric acid. Of great importance is the method of cooking products - they are allowed to boil, stew and steam. Meals are frequent and fractional, it does not hurt to review drinks.

What to drink with increased acidity of the stomach? Preference is given to natural non-acid compotes and jelly, weak tea, herbal drinks. Mineral waters can be an excellent way of treatment, but it must first be discussed with your doctor.

Traditional medicine recommends using honey for treatment, aloe juice, propolis. Sea buckthorn oil, pumpkin seeds help very well. Shepherd's purse, brewed like tea, perfectly relieves severe pain and is used in the development of ulcerative pathology for 14 days.

Methods for determining acidity

Acidity or alkalinity is important for many chemical processes in nature and in our body. The efficiency of a particular chemical reaction directly depends on the surrounding pH of the medium.

What is acidity

It is customary to designate an alkaline environment as a numerical indicator pH> 7, and the higher this indicator, the more alkaline the environment is.

pH=7 is a neutral indicator. This is the pH of pure water.

pH meter

the level of acid in several parts of the digestive system at once;
this method makes it possible to determine whether heartburn will appear with a low acidity of the stomach.

Thanks to more accurate mechanisms, FGDS (fibrogastroduodenoscopy) pushed probing into the background.

Daily pH monitoring

This type of study, such as 24-hour pH monitoring, has become more widespread. This diagnostic has a number of advantages.

It is carried out on an outpatient basis.
The total number of episodes of lowering the pH in the esophagus and stomach and their duration are counted.
It helps to clarify what acidity is observed with heartburn and periods of burning pain, what the body reacts to.
In the process of pH-metry, an alkaline test is carried out. Drinking soda dissolved in water is injected through the probe. In the process, the indicators change from acidic (the norm in the antrum is not lower than 2) to alkaline. The period when they are restored back is called the alkaline test. In a healthy person, this time is approximately 17-20 minutes.

Diseases with altered acidity

Almost any disease of the upper digestive system is accompanied by a change in the pH level. How to understand heartburn - is it or is it reduced?

with GERD;
hyperacid gastritis;
stomach ulcer;
duodenal ulcer.

proton pump inhibitors or H2 histamine receptor blockers;
antacids after eating a long course;
in violation of the evacuation function of the stomach - prokinetics.

Not the least important in the treatment of heartburn with high acidity is the organization of work and rest.